MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 BARDIA® FOLEY CATHETER SILICONE COATED

Catalog Number	123518A
Medical Device Problem Code	Inflation Problem (1310)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	09/10/2024
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that during pretest sterile water could not be injected into the foley catheter and could not inject any water at all.
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.This report references a us equivalent device.The us udi equivalent for this product number is used.H11: section a through f - the information provided by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
Additional Manufacturer Narrative
The reported event was unconfirmed because the reported failure could not be reproduced.The product had not caused the reported failure.No root cause could be found because the reported event was unconfirmed.A review of the device history record did not show any problems or conditions that would have contributed to the reported issue.The instructions for use were found adequate and state the following: "warnings concerning use: 1.Since it may be difficult to remove catheter even after balloon deflation in some cases, the catheter should be removed under the 2.Wyer inserting catheter with a stylet, this that the stylet has reached the tip of the catheter, and then insert without pulling otherwise, the stylet may exit the side hole to damage the urethral mucosa.3.When deflating balloon, allow balloon to deflate on its own; do not use excessive force in aspirating with a syringe.The inflation lumen for balloon deflation may be occluded by negative pressure, as a result the balloon cannot be deflated.4.When catheter is inadvertently removed, inspect the balloon and shaft of catheter for rupture, damage etc.Before inserting a new catheter.[fragments of the balloon or segment of catheter may remain in the bladder.Caution should be exercised in the following patients: use with great care for patients with disturbance of consciousness, etc.When patient removes catheter unconsciously, the mucosa of the bladder and urethra may be damaged, balloon may be ruptures,, catheter may be broken, and catheter fragments may be left behind in the bladder.Contraindications/prohibitions concerning use 1.Do not reuse.2.The balloon and shaft of catheter should not be pinched with forceps, etc.Damage to the catheter with a blade or sharp-edged devices must be avoided.There is a strong likelihood that breakage or spontaneous removal of catheter, or rupture of balloon will occur, and that inability of balloon to deflate may make removal of the catheter difficult.Precautions ¿ this product is contraindicated in the following patients: ¿ patients with a past history of allergic reactions to natural rubber.Prohibited concomitant use 1.Do not use ointments, contrast medium or lubricants having petroleum base on catheter (including oil of animal or plant origin, such as olive oil and petroleum jelly, and mineral oil.) they will damage latex and may cause balloon to burst.Do not wipe catheter surface with organic solvents (such as alcohol).2.No substance except sterile water should be used to inflate the balloon.A contrast medium may cause balloon to burst.If normal saline is used, crystallized salt may occlude the inflation lumen to prevent deflation of the balloon.When air is used, air may escape to cause spontaneous deflation of the balloon so that the catheter may come out prematurely.Indications for use this device is an indwelling catheter in the bladder for urinary drainage.Precautions 1.Precautions for use - natural rubber may cause allergic symptoms including itching, redness, urticaria, swelling fever, dyspnea, asthma-like symptoms, decreased blood pressure, shock, etc.When such symptoms appear, use of the device should be stopped immediately, and consult the attending physician so that appropriate measures should be taken." this report references a us equivalent device.The us udi equivalent for this product number is used.H11: section a through f - the information provided by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
Event or Problem Description
It was reported that during pretest sterile water could not be injected into the foley catheter and could not inject any water at all.

• Brand Name: BARDIA® FOLEY CATHETER SILICONE COATED
• Common Device Name: FOLEY CATHETER
• Manufacturer (Section D): C.R. BARD, INC. (COVINGTON) -1018233; 8195 industrial blvd; covington 30014
• Manufacturer (Section G): C.R. BARD, INC. (COVINGTON) -1018233; 8195 industrial blvd; covington 30014
• Manufacturer Contact: xeeroy rada ; 8195 industrial blvd; covington 30014 ; 7707846100
• MDR Report Key: 20310130
• Report Number: 1018233-2024-06070
• Device Sequence Number: 8866517
• Product Code: EZC
• UDI-Device Identifier: 00801741095108
• UDI-Public: (01)00801741095108(11)230412(17)271228(10)MYHP1982
• Combination Product (Y/N): N
• Initial Reporter Country: JA
• PMA/510(K) Number: K910846
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,User Facility
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 11/22/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: 123518A
• Device Lot Number: MYHP1982
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 09/18/2024
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 09/10/2024
• Supplement Date Received by Manufacturer: 11/22/2024
• Initial Report FDA Received Date: 09/26/2024
• Supplement Report FDA Received Date: 12/02/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 04/12/2023
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown